Baby Photo Request

This information gives your permission for us to photograph your baby and publish the photo on the Taranaki DHB website and Facebook page. Please complete your contact details:

Your name

Your baby’s full name, including surname


Time of birth

Weight

Weight (Grams)

Eye colour






Hair colour









Child of (parents' names)

Your email

THE FOLLOWING WILL NOT APPEAR ON THE WEBSITE:

Relationship to baby


Sex of baby


Your Room Number

Phone Number

I do not wish to have this birth notice published on social media (such as Facebook, Instagram etc)

 

PLEASE READ THE FOLLOWING AND TICK THE CHECK BOX:
The information made available or through the Taranaki District Health Board (TDHB) Website (Birth Notices pages) and TDHB Facebook page, which includes the photograph of your baby, is intended to provide information to the public regarding the birth of your child following your written consent. TDHB has taken all reasonable means to ensure the quality and accuracy of that information. Given the TDHB website is accessible by the general public, TDHB is not responsible for the security of the information (which includes the photograph of your baby) displayed on the TDHB website. TDHB is not responsible for the content of other websites or organisations which choose to access this information. TDHB neither endorses the information, content, presentation, or accuracy of such other websites nor makes any warranty, express or implied regarding these other websites.

I have read and agree with the terms and conditions above (Required)


Last updated: Thursday, March 30, 2017